| NPI | 1083695704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD26799) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 15362) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-1252) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2022-07-09 |