| NPI | 1043889983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01096120A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT224403) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2026-07-07 |