| NPI | 1871170357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 72265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 31711) |
| 207R00000X Internal Medicine (Licence: MN 72265) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2024-06-18 |