NPI | 1568990034 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 010126558) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101265558) |
Enumeration Date | 2017-05-30 |
Last Update Date | 2025-06-18 |