| NPI | 1285673327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TN 27559) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD27559) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: SC 25353) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-03-18 |