| NPI | 1952386401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 39358) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN M0000039358) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2023-03-07 |