| NPI | 1275806721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NE 1117) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: SC 92569) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: HI DOS-2091) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2024-08-29 |