| NPI | 1336185685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 26952) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 3308) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2024-04-08 |