| NPI | 1992209167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA SP-0258) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA SP-0258) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: SC AL51940) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-11-20 |