| NPI | 1720584378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A176557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR e14012) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-08-07 |