| NPI | 1710948617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 39581) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD29094) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2025-01-28 |