| NPI | 1801086087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 005243) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO CDR.0005159) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 13109-321) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-09-10 |