| NPI | 1427541515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: SC 91400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL52011) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2024-08-12 |