| NPI | 1780660142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 15893) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 131990) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2024-02-01 |