| NPI | 1336250596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01083437A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.129724) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX L5469) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-10-08 |