| NPI | 1255785713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 291614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 291614) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2024-06-05 |