| NPI | 1982694725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD- 13797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD- 13797) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2016-10-21 |