| NPI | 1316292329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 50985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 9407829) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01075002A) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2021-10-29 |