| NPI | 1255625679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01073629A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248129) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-01-25 |