| NPI | 1205397437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A177960) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A177960) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-09-11 |