| NPI | 1295181428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2023035693) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 70527) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2024-04-23 |