| NPI | 1730249848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2008-01272) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01059669A) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2017-01-24 |