| NPI | 1689098311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD198461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 49214) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01085870A) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-149825) | |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2023-05-01 |