| NPI | 1609818541 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 069123) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 23066) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-01-10 |