| NPI | 1720200132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 13449) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A965014) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-02-21 |