| NPI | 1639136245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 32219) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 32219) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2024-03-13 |