| NPI | 1992895601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 16811) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A87912) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-12-27 |