| NPI | 1215939251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101034504) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101034504) |
| 207R00000X Internal Medicine (Licence: VA 0101034504) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2024-10-03 |