NPI | 1619381191 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2017007563) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017007563) |
Enumeration Date | 2014-06-12 |
Last Update Date | 2024-04-25 |