| NPI | 1841218880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G72513) |
| Additional Taxonomies | 204F00000X Transplant Surgery (Licence: CA G72513) |
| 208600000X Surgery (Licence: CA G72513) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-12-30 |