| NPI | 1083689475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 30992) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 37633) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-10-10 |