NPI | 1912132382 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D75114) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 49643) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2024-09-30 |