| NPI | 1174571426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME130871) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01041760a) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01041760) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2018-06-13 |