NPI | 1255395794 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01054106) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 131144) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01054106A) | |
Enumeration Date | 2006-04-13 |
Last Update Date | 2025-07-15 |