| NPI | 1437447554 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AR E-10304) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CO DR.0073956) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2024-08-14 |