| NPI | 1043605108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 69024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D89424) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2021-09-03 |