| NPI | 1851880835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H91563) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 13896702-1204) |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2024-05-13 |