| NPI | 1639389984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 67374-020) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KS 04-36304) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2018-03-17 |