| NPI | 1942391586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G18410) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G18410) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2014-11-19 |