| NPI | 1538423132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 65491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019009916) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2019009916) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2023-06-28 |