| NPI | 1891743191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301406927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301406927) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01040132) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-08-30 |