NPI | 1558758524 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A186926) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 291954) |
Enumeration Date | 2015-04-17 |
Last Update Date | 2024-04-02 |