NPI | 1700315686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 27366) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 27366) |
Enumeration Date | 2017-06-05 |
Last Update Date | 2024-07-08 |