| NPI | 1083931364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 55871) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 25179) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2022-07-26 |