| NPI | 1033232608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 67112) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 52234) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2023-12-20 |