| NPI | 1538222047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 21886) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01055581A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01055581A) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-02-19 |