NPI | 1083144638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: RI MD17544) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD17544) |
Enumeration Date | 2017-06-15 |
Last Update Date | 2024-04-11 |