| NPI | 1316979214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA ME46778) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA ME46778) |
| 208C00000X Colon & Rectal Surgery (Licence: PA ME46778) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2025-07-14 |