| NPI | 1679558472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 38598) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01086272A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101040588) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2024-05-07 |