| NPI | 1013404540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101027935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151010751) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-06-18 |