| NPI | 1750526141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD437650) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: DE C1-0028054) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME164384) | |
| Enumeration Date | 2008-12-13 |
| Last Update Date | 2025-05-07 |