| NPI | 1982892782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 11015403A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 207R00000X) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2021-02-01 |