| NPI | 1114260924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61509321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076503A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01076503A) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-04-16 |