| NPI | 1346260346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A66981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A66981) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2021-04-20 |