| NPI | 1972867661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01082288A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061360) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2023-05-31 |