| NPI | 1053792937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 11018447A) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01080330A) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2025-03-06 |