| NPI | 1568670321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TN 50517) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: AR E-7261) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: MS 22043) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-07-02 |