| NPI | 1336172170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 1.052363) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G43237) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-07-10 |