| NPI | 1912112632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E17339) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 49633) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2024-02-06 |