| NPI | 1851787931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 68282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 35359) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2024-07-31 |