| NPI | 1487941928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 59136) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C163845) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2023-09-06 |