| NPI | 1356527733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01073479A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 002875) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 104934) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 53384) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2021-01-14 |