| NPI | 1942611892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MO 2018004993) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KS 04-42968) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2024-09-23 |