| NPI | 1386803187 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 41927) | 
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01090661A) | 
| Enumeration Date | 2008-06-05 | 
| Last Update Date | 2024-01-02 |