| NPI | 1154490886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G26503) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D15857) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2025-09-11 |