| NPI | 1851551089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M-12140) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID SPHY-12140) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2022-12-12 |