NPI | 1902257405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-46080) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-46080) |
Enumeration Date | 2016-06-26 |
Last Update Date | 2023-07-05 |