NPI | 1922457225 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 291979) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267684) |
Enumeration Date | 2016-06-07 |
Last Update Date | 2022-05-25 |