NPI | 1588872873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME156148) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 257168) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2022-07-28 |