| NPI | 1093772923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 35825) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022018368) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2022018368) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2026-07-01 |