| NPI | 1841451580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C10012022) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D78215) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2022-07-29 |