| NPI | 1861618449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A81190) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A81190) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-01-27 |