| NPI | 1356344402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TN MD 35088) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: TN 035088) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101230824) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2022-07-21 |