| NPI | 1083140164 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-16221) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060361) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2020008338) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2025-01-28 |