| NPI | 1790999753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 47472) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-5424) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-12-03 |