| NPI | 1194257279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 100672) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 8176020) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-06-27 |