| NPI | 1720015282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A48880) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A48880) |
| 207R00000X Internal Medicine (Licence: CA A48880) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-09-12 |