| NPI | 1306800800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 37804) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 18911) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2024-05-22 |