| NPI | 1235397308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-7117) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-7117) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 075438) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2017-05-09 |