| NPI | 1467415067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 23178) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD0000012548) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 2295) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2023-04-11 |