| NPI | 1831345362 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02004091A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT012164) |
| 207R00000X Internal Medicine (Licence: PA OS015141) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2025-04-24 |