NPI | 1003876368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 042.0014276) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0014276) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2019-06-16 |