| NPI | 1700031218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01066033A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A114148) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 94-07139) | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2021-12-20 |