| NPI | 1740585249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MO 2022047668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022047668) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2024-04-25 |