NPI | 1376663583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-17827) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 21378) |
207RG0100X Internal Medicine, Gastroenterology (Licence: TN md42303) | |
Enumeration Date | 2007-03-30 |
Last Update Date | 2024-08-22 |