| NPI | 1982784898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD 11244) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 4914614-1205) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-06-10 |