| NPI | 1851852628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5315240788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-158337) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-08-03 |