NPI | 1003270075 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME159586) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME159586) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2023-05-19 |