| NPI | 1861409385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A92249) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME96108) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-09-19 |