| NPI | 1114458536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D92413) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0092413) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-07-28 |