| NPI | 1174713275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 15177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 231996) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2020-12-11 |