| NPI | 1336450766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01082073A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL32985) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036132828) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2024-03-20 |