NPI | 1639531957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01089218A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19886) |
207RG0100X Internal Medicine, Gastroenterology (Licence: PR 19886) | |
Enumeration Date | 2016-03-25 |
Last Update Date | 2024-02-09 |