NPI | 1528422847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A151462) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A151462) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2024-04-15 |