| NPI | 1891143053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 1754) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2023-02353) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 87948) | |
| Enumeration Date | 2016-05-28 |
| Last Update Date | 2025-08-20 |