| NPI | 1487603445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME78262) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME78262) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-06-12 |