NPI | 1922455864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A173226) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S7429) |
Enumeration Date | 2016-05-20 |
Last Update Date | 2022-08-28 |