| NPI | 1639435084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 283619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 283619) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 87720) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01085009A) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-11-04 |