| NPI | 1366509978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WV 24647) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01047428) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2014-03-20 |