NPI | 1700381688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD500002896) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD500002896) |
Enumeration Date | 2018-03-24 |
Last Update Date | 2024-09-17 |