| NPI | 1851372213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD14483) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 18188) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2025-03-18 |