| NPI | 1063619658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101263487) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01069482A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD440196) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2018-03-20 |