| NPI | 1588874630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01069784A) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 656-L) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-01-28 |