| NPI | 1972702470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2022-00149) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 856761) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2023-03-07 |