| NPI | 1205898103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WA MD60730018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60730018) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-01-24 |