| NPI | 1972596906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01069927A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 32553) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-11-25 |