| NPI | 1447224605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 47234) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 39036) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2022-09-26 |