| NPI | 1336159052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G67345) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G67354) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-12-18 |