NPI | 1376862227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 283388) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096131) |
Enumeration Date | 2010-05-18 |
Last Update Date | 2022-09-12 |