| NPI | 1538691241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 21953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 21953) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 14001256-1205) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2024-06-04 |