| NPI | 1427499078 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 59271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 59271) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2022-02-09 |