| NPI | 1992144844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 71658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6994) |
| 207R00000X Internal Medicine (Licence: WI 71658) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2021-11-24 |