NPI | 1851552624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MD D0072237) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D72237) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2023-11-07 |