| NPI | 1528201670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 008589) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02005343A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC TL39099) | |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2021-11-13 |