| NPI | 1932145745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01038987) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IN 01038987A) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-09-11 |