NPI | 1639361413 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02005178A) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q0562) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-140810) | |
Enumeration Date | 2007-08-15 |
Last Update Date | 2023-06-01 |