| NPI | 1588096556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 61493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 61493) |
| 207R00000X Internal Medicine (Licence: IL 125.064275) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2020-08-13 |