| NPI | 1962428326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD50235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 2940321205) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35069227) | |
| 207RI0008X Internal Medicine, Hepatology (Licence: OH 35069227) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-06-24 |