| NPI | 1306051552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AL 26851) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KY TP722) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: WA MD60470778) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: TN 39379) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01072448A) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2018-06-27 |