NPI | 1356458566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 45251-20) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01051742A) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2024-07-02 |