| NPI | 1508232711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01085152A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT208441) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MT208441) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2023-08-10 |