| NPI | 1659876969 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 83580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 71783) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-08-13 |