| NPI | 1912136979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01078308B) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125056013) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 284360) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2019-07-26 |