| NPI | 1851755953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 68651-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 68651-20) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2026-01-26 |