| NPI | 1295034759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 15286) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA 1036979) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2024-11-18 |