| NPI | 1578668927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT MED-PHYS-LIC-129229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92677) |
| 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-129229) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A92677) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-10-23 |