NPI | 1992209167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IA SP-0258) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: SC AL51940) |
207R00000X Internal Medicine (Licence: IA SP-0258) | |
Enumeration Date | 2018-03-21 |
Last Update Date | 2023-04-13 |