| NPI | 1922057322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 45321) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 127832) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-07-11 |