| NPI | 1184041550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101278402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 461272) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-01-26 |