NPI | 1922551662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A169872) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A169872) |
Enumeration Date | 2016-07-29 |
Last Update Date | 2024-04-16 |