NPI | 1063944551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL OS15591) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS15591) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2023-08-02 |