| NPI | 1720008899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G80181) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA G80181) |
| 207R00000X Internal Medicine (Licence: CA g80181) | |
| 208600000X Surgery (Licence: CA G80181) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-01-02 |