| NPI | 1740411370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 54328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 38147) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 24342) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 34.015828) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2022-07-11 |