| NPI | 1073522504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD500002303) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01094320A) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2024-11-04 |