| NPI | 1972671428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 49152) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 86555) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301083262) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2026-02-06 |