| NPI | 1609918374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01064969A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 38473) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-03-14 |