| NPI | 1629032784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101267805) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01047733) |
| 207R00000X Internal Medicine (Licence: VA 0101267805) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2022-03-31 |