| NPI | 1902347289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV DO2668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A17428) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-01-18 |