| NPI | 1396056172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 48417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 48417) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2020-05-22 |