| NPI | 1306366133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: SC 89686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101023546) |
| 207R00000X Internal Medicine (Licence: SC 89686) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-08-10 |