| NPI | 1639531957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01089218A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19886) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 19886) | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2024-02-09 |