| NPI | 1932724499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01089639A) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01089639A) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-06-20 |