NPI | 1205363280 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D97133) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D97133) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2023-06-20 |