| NPI | 1598850943 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MA 154768) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD22469) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-07-19 |