| NPI | 1336777879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 82205-021) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA D0-06338) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2026-07-09 |