NPI | 1154735215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2017020613) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017020613) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2024-04-25 |