| NPI | 1922197045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL DO-558) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 059201) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2025-01-21 |