| NPI | 1366437337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 20445) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 141413) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2025-04-28 |