| NPI | 1891061859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 128561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A128561) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2023-03-07 |