| NPI | 1275916983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 42137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301108261) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2024-01-03 |