NPI | 1235518176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A149694) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-263354) |
207R00000X Internal Medicine (Licence: CA A149694) | |
Enumeration Date | 2015-05-26 |
Last Update Date | 2024-04-17 |