| NPI | 1033167796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01033135A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 31257) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-01-23 |