| NPI | 1265920557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TN 71833) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KY 55615) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-09-04 |