| NPI | 1851374300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200000634) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD37312) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2024-10-02 |