| NPI | 1558366633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DE C10024864) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D35229) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2022-08-29 |