| NPI | 1588872923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01057669A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01057669A) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2023-03-17 |