NPI | 1780977595 |
---|---|
Professional Name | VIJAY KUMAR BODUKAM |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A131523) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD449009) |
Enumeration Date | 2011-05-26 |
Last Update Date | 2020-08-24 |