| NPI | 1700310257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2021010466) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4658) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2024-06-14 |