| NPI | 1316989288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2016-02536) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01067834A) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-01-25 |