| NPI | 1063449031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD39523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD39523) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2022-03-21 |