| NPI | 1376863738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SD 11149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-16294) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD 16294) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 77614) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2019-01-28 |