| NPI | 1043453046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 87828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO1692) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 006486) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2024-03-15 |