NPI | 1952759672 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 329481) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 278711) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2024-06-04 |