| NPI | 1760833925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 65316) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 65316) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-06-29 |