NPI | 1861479594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 59979) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 59979) |
Enumeration Date | 2005-12-23 |
Last Update Date | 2024-06-17 |