| NPI | 1033158837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: LA 14607R) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 14607R) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-12-11 |