| NPI | 1023096252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA 31810) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 99746) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2023-10-25 |