| NPI | 1851451934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G55633) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G55633) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2019-08-05 |