| NPI | 1861691875 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01034839A) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY 18706) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 18706) | |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2022-10-03 |