| NPI | 1346205358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02005826A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR0062881) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN DO1674) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-11-11 |