| NPI | 1043256936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 60656) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SD 4783) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-01-23 |