| NPI | 1447464912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C55825) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND PT21616) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-10-01 |