| NPI | 1366825077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01100899A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01100899A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 65317) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2026-08-19 |