| NPI | 1982686515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 18006) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 36990) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2026-02-10 |