| NPI | 1780773762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 15662) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 023504) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 23504) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101255319) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-11 |