| NPI | 1427443290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101261351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101261351) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2023-00606) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2023-05-16 |