NPI | 1972999050 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 51653) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 51653) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2023-08-22 |