NPI | 1508279332 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 36961) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL36961) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2021-05-27 |