| NPI | 1336521350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0024192) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD495680) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2026-06-11 |