NPI | 1235592080 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2023-01161) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD467496) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2024-06-06 |