| NPI | 1962591156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD206243) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD206243) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01066460A) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 36691) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2008008613) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-09-07 |