| NPI | 1255395794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01054106) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 131144) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-12-05 |