| NPI | 1538119979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0029052) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 052157) |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 052157) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2026-02-18 |