| NPI | 1376903146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101263356) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101263356) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2024-07-12 |