NPI | 1902225535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-00820) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MO 2019015000) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2024-07-29 |