| NPI | 1346616851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U6554) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 11018563A) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-10-30 |