| NPI | 1942934039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MDR-8752-0) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 125.079181) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-11-07 |