| NPI | 1184880676 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01070921A) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036122288) | 
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 5272620) | |
| Enumeration Date | 2008-08-04 | 
| Last Update Date | 2025-03-11 |