| NPI | 1700828050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01059560A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M6762) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-07-25 |