NPI | 1639531544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 277195) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 277195) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2023-01-11 |