| NPI | 1497876247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A77880) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 222058) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-11-18 |