| NPI | 1427265826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 17678) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 059137) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 48784) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2023-06-01 |