| NPI | 1548376312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01088767A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 51749) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2024-02-14 |