| NPI | 1255593513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01075414A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11014230A) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: OH 57.020461) | |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-11-27 |