| NPI | 1679668909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D71725) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01062563A) |
| 207R00000X Internal Medicine (Licence: IN 01062563A) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-01-31 |