| NPI | 1912983206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01094258A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61590759) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.142221) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX H0324) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2024-09-03 |