| NPI | 1376659193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 21471) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD437901) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01044741) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-09-22 |