| NPI | 1801289764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 22053) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01087534A) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101261668) | |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2025-05-06 |