NPI | 1972504629 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 02001472) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: KY TP598) |
Enumeration Date | 2005-08-03 |
Last Update Date | 2022-01-19 |