NPI | 1114260924 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61509321) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01076503A) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01076503A) | |
Enumeration Date | 2013-03-29 |
Last Update Date | 2024-04-16 |