NPI | 1235131806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01049379A) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 2160261) |
207RG0100X Internal Medicine, Gastroenterology (Licence: SD 8773) | |
Enumeration Date | 2005-08-12 |
Last Update Date | 2018-09-28 |