| NPI | 1194879262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 56612-20) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 45841) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-09-14 |