| NPI | 1841646726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID O-1809) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R4558) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2025-03-17 |