NPI | 1245665660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID O1109) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID O-1109) |
Enumeration Date | 2013-09-04 |
Last Update Date | 2024-04-18 |