NPI | 1689098311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD198461) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01085870A) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-149825) | |
207R00000X Internal Medicine (Licence: KY 49214) | |
Enumeration Date | 2014-02-17 |
Last Update Date | 2024-10-10 |