| NPI | 1912347360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01089722A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.127481) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD047262) | |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2023-03-23 |