| NPI | 1326205113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101253006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228389) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME112686) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2025-09-11 |