| NPI | 1568413987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0102202378) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 00969) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-06-09 |