| NPI | 1578794491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01083873A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60648172) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60648172) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 70108) | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2022-10-07 |