NPI | 1093175325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 19820) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 297567) |
Enumeration Date | 2016-02-29 |
Last Update Date | 2024-06-02 |