| NPI | 1699038869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 63801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 251530) |
| 207R00000X Internal Medicine (Licence: TN 63801) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A162924) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2022-03-25 |