| NPI | 1194286583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: LA 325983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 325983) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-07-01 |