| NPI | 1902621154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0109542127) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: VA 0109542127) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |