NPI | 1871869362 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD196920) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD196920) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2020-03-17 |