NPI | 1588026710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0093402) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0093402) |
Enumeration Date | 2016-03-26 |
Last Update Date | 2023-02-07 |