| NPI | 1194992271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 54908) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 24672) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2025-03-04 |