| NPI | 1386209872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 6347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02006820A) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2025-10-09 |