| NPI | 1295705416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: IN 01020821A) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IN 01020821) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2022-04-29 |