| NPI | 1184186421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A177279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 68686) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2026-05-13 |