| NPI | 1235131806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01049379A) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 2160261) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: SD 8773) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-09-28 |