| NPI | 1215939897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 26956) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 14527) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2025-03-04 |