| NPI | 1013934710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 52067) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD39482) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01058085A) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-05-06 |