| NPI | 1821330226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A141182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML 60358769) |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2016-08-06 |