| NPI | 1356395859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01081876A) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KY 33509) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-10-16 |