| NPI | 1952698532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 23270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 207975) |
| 207R00000X Internal Medicine (Licence: MS 23270) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 207975) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2025-01-10 |