| NPI | 1548344583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NH 6919) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 6919) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-04-24 |