| NPI | 1639149271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 05-23660) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02002889A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2021047585) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2021-12-27 |