| NPI | 1154415347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OK 22226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 22226) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-04-18 |