| NPI | 1932530680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02008721A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 73589-21) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2025-11-03 |