| NPI | 1780725408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA g71035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G71035) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2017-08-25 |