| NPI | 1932599164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME151709) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL TRN19636) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0071004) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2023-07-25 |