NPI | 1033365358 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MO 2011014220) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2007016056) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2017-03-14 |