NPI | 1386975928 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 48396) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 238886) |
Enumeration Date | 2010-01-21 |
Last Update Date | 2021-05-27 |