NPI | 1043889983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01096120A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT224403) |
Enumeration Date | 2021-06-24 |
Last Update Date | 2025-07-04 |