| NPI | 1194990499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01070995A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.009877) |
| 207R00000X Internal Medicine (Licence: IN 01070995A) | |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2014-12-31 |