| NPI | 1841582236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 51521) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 25579) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2025-03-13 |