| NPI | 1750350591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0056348) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0056348) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2026-01-27 |