| NPI | 1700933900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01063277A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0007856) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA07833300) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-02-08 |