| NPI | 1528597689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 101218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023012691) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2023012691) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-08-02 |