| NPI | 1932424850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2018019584) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 39347) |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2020-11-13 |