| NPI | 1669543633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 62892) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G22722) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-09-22 |