NPI | 1508283706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 54387) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 54387) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2025-08-01 |