| NPI | 1275915506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2023010348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015020141) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2023-09-14 |