| NPI | 1720039688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01073090A) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 43198) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2021-02-09 |