| NPI | 1922426683 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2018-01363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2018-01363) |
| 207R00000X Internal Medicine (Licence: AR E9375) | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2021-08-11 |