| NPI | 1851428882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 40404) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 05-51744) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2026-01-21 |