| NPI | 1639361413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02005178A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q0562) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-140810) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2023-06-01 |