| NPI | 1831356732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A142008) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 53489) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 104918) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2018-02-21 |