| NPI | 1477014306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MN 67728) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30017) |
| 207R00000X Internal Medicine (Licence: MN 67728) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2022-06-30 |