| NPI | 1285018549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 22038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066668) |
| 207R00000X Internal Medicine (Licence: WI 22038) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2022-10-14 |