NPI | 1508279522 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301513888) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301513888) |
Enumeration Date | 2014-06-06 |
Last Update Date | 2025-09-22 |