NPI | 1588693857 |
---|---|
Former Name | VENKATAVIJAYBABU ADIMOOLAM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101278304) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX N7385) |
207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35C.001833) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-51129) | |
Enumeration Date | 2006-06-30 |
Last Update Date | 2024-10-08 |