| NPI | 1619922275 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-5416) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 26082) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-01-29 |