| NPI | 1821157322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MD D40901) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A103157) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 68402) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-11-07 |