| NPI | 1740494178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 236692) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI EMC0005932) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0028553) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2025-10-09 |