NPI | 1700271814 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD18462) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD18462) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2022-06-29 |