| NPI | 1376507079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01083281A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 1745531) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2026-08-11 |