| NPI | 1700812823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01029392A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036054886) |
| 208C00000X Colon & Rectal Surgery (Licence: IN 01029392A) | |
| 208C00000X Colon & Rectal Surgery (Licence: IL 036054886) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2021-02-02 |