| NPI | 1700310257 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01095793A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 60540) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.150292) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-07-01 |