NPI | 1518320399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME160920) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD477006) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2024-09-10 |