| NPI | 1851611321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01073706A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-243906) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01073706B) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2021-01-13 |