| NPI | 1184310088 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A208700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-8496) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2026-05-11 |