| NPI | 1417433905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 57.245539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01092926A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01092926A) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2024-05-07 |