| NPI | 1134115165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME52969) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KY 52634) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01083133A) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2021-12-15 |