| NPI | 1003270471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD27103) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 22622) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-08-23 |