| NPI | 1487093134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2018-02256) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076635A) |
| 207R00000X Internal Medicine (Licence: MN 57999) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2019-07-12 |