| NPI | 1891101374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 24002) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD26901) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60992946) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2023-05-03 |