| NPI | 1922501725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 75869) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301507068) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-06-22 |