| NPI | 1972504629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02001472) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY TP598) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2022-01-19 |