| NPI | 1679534796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G47680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 71479) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 71479) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-12-21 |