| NPI | 1831225648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301091009) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091009) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A72546) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-06-26 |