NPI | 1700269537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01087799A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01087799A) |
207R00000X Internal Medicine (Licence: KS 94-08699) | |
Enumeration Date | 2015-06-29 |
Last Update Date | 2024-09-09 |