| NPI | 1538334800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 61685) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 28425) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2021-01-29 |