| NPI | 1801081807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 71941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me100141) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01070240A) | |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2025-09-10 |