| NPI | 1851447668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NM MD2017-0242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01062030A) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-02-04 |