| NPI | 1447486436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2014-0071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107986) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2023-07-11 |