| NPI | 1245432293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 53929) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 53453) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-04-28 |