| NPI | 1619986437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD-16105) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA AFE73901) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 54642) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00047928) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2023-03-07 |