NPI | 1932603735 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 286440) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 286440) |
Enumeration Date | 2018-03-19 |
Last Update Date | 2025-09-16 |