| NPI | 1619014776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A93318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A93318) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-06-02 |