| NPI | 1508279522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020013862) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2020013862) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2024-04-25 |