NPI | 1245494392 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01077429A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.094662) |
207R00000X Internal Medicine (Licence: IN 01077429A) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.094662) | |
Enumeration Date | 2008-07-17 |
Last Update Date | 2024-03-26 |