| NPI | 1609131614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01081757A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2012018756) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2019-07-22 |