| NPI | 1053577320 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 066071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-121980) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2023-03-07 |