| NPI | 1033423744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2017042324) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: MO 2017042324) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-40716) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2023-10-12 |