| NPI | 1164443750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 12459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 222814) |
| 207R00000X Internal Medicine (Licence: IN 01058582A) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-11-18 |