| NPI | 1710307749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 60896) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 60896) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2023-10-17 |