| NPI | 1780654988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 36010) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA a106779) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-12-06 |