NPI | 1003906751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 75330) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2020-04396) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2025-02-27 |