NPI | 1770078644 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0098568) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018019258) |
207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2021017563) | |
Enumeration Date | 2018-06-24 |
Last Update Date | 2024-08-13 |