| NPI | 1851812556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 021113) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 21113) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2024-09-22 |