| NPI | 1376120535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A193588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 1376120535) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2024-07-01 |