| NPI | 1609872704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO R1647) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 49489) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 22349) | |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2023-10-24 |