| NPI | 1639599616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: HI MD-21132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01078428A) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2020-08-04 |