| NPI | 1336189695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02005531A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 3103) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-05-22 |