| NPI | 1700240355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A186028) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 77564) |
| 207R00000X Internal Medicine (Licence: MN 62553) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 62553) | |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2024-01-22 |