| NPI | 1508200882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01074925A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01074925A) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2022-07-07 |