| NPI | 1407040488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-6356) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR 25527) |
| Enumeration Date | 2007-09-01 |
| Last Update Date | 2021-11-02 |