NPI | 1740385277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD25881) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD25881) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2024-09-07 |