| NPI | 1306833611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AK 7988) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83198) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2021-06-24 |