| NPI | 1770921553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 57235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063119) |
| 207R00000X Internal Medicine (Licence: TN 57235) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2022-03-29 |