| NPI | 1770074114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5101027761) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5151009943) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2024-05-20 |