| NPI | 1316989692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2018-01881) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01039203A) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2019-02-15 |