| NPI | 1457747859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MO 2018023702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018023702) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2023-06-28 |