| NPI | 1609919471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 44619) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AK 210986) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2025-01-02 |