| NPI | 1558343434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 20740) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 33175) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2024-11-01 |