| NPI | 1265436521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 63830) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 93691) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101039107) | |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2026-03-19 |