| NPI | 1255748075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01085371A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065098) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2025-01-16 |