| NPI | 1376663583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 42303) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 21378) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2025-08-19 |