| NPI | 1417990425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-11715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01061259) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2009002056) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-10-31 |