| NPI | 1457346041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 31346) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD-23277) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2025-04-24 |