| NPI | 1326200536 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01076501A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125049814) |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2017-05-23 |