| NPI | 1407000748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A152928) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 55518) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2021-03-16 |