| NPI | 1952838864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-18297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060880) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-18297) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2024-09-05 |