| NPI | 1033524608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 68994) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065759) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2021-08-09 |