NPI | 1033143797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2015-0273) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 305163) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2025-08-20 |