| NPI | 1821095456 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01085532A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 26351) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2023-05-17 |