| NPI | 1255593257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX T0305) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01083235A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 22098) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2023-10-23 |