| NPI | 1417098567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 14135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49957) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 246157) | |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2024-05-30 |