| NPI | 1215966296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 7932327-1205) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101263598) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00023676) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M-5073) | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2017-11-14 |