| NPI | 1629330394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ R2118) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA OP60908904) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2023-08-14 |