| NPI | 1083077226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01087835A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027484) |
| 207R00000X Internal Medicine (Licence: OH 35.134450) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-45952) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-06-21 |