| NPI | 1699133900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 1695) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 1695) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2023-08-21 |