| NPI | 1992969307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2015028190) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 129607) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2019-04-01 |