| NPI | 1366945768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX V3621) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01083150A) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01083150A) | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2025-07-15 |