| NPI | 1932117322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101261087) |
| Additional Taxonomies | 170100000X Medical Genetics, Ph.D. Medical Genetics (Licence: CA G054506) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G054506) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-01-16 |