| NPI | 1932181245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 23458) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 27569) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2024-01-02 |