| NPI | 1982017521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 27532) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 71447) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 51221) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-19860) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: KY C4349) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2026-02-02 |