| NPI | 1831127885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G136134) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 36993) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-08-09 |