| NPI | 1891726303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD46120) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN MD0000046120) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-03-30 |