| NPI | 1851577605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A140177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247495) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2020-12-18 |