| NPI | 1639519523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101268231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 006153) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-07-02 |