| NPI | 1013022680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 4981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX m3541) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-04-28 |