NPI | 1376047506 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME174647) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.072239) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2025-08-06 |