NPI | 1700310257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2021010466) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4658) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2024-06-14 |