| NPI | 1114952405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01069255A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036059098) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 35134020) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 35134-020) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-07-20 |