| NPI | 1952401697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C10025179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 44975) |
| 207R00000X Internal Medicine (Licence: VA 0101243775) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101243775) | |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2024-02-20 |