| NPI | 1063465284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01068526A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 40035) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-05-08 |