NPI | 1528486594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D91127) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D91127) |
Enumeration Date | 2014-04-07 |
Last Update Date | 2021-07-21 |