| NPI | 1649729732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 22466-875) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069139) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2023-07-25 |