| NPI | 1578530457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 20577) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0011172) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2016-02-17 |