| NPI | 1912989773 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD224189) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A45634) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2025-11-25 |