| NPI | 1982036778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 3487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-2743) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2022-05-26 |