| NPI | 1538141411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 28559) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 15843) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 50974) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-04-05 |