| NPI | 1184988594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 23282) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 57688) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2022-08-23 |