| NPI | 1841574373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 11016389A) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036.127174) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |