| NPI | 1679730063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01066523A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01066523A) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2022-01-06 |