| NPI | 1760582365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01068043A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 044976) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2021-04-09 |