NPI | 1497967376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2024-02680) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME107950) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2025-03-05 |