| NPI | 1235332321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-10157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 30554) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 279734) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2018-05-10 |