| NPI | 1871912451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP10049474) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A166989) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2020-12-16 |