| NPI | 1568406783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 52307) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 10649) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-04-13 |