| NPI | 1568501583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2007-0660) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A92046) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-02-04 |