NPI | 1043282569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME68156) |
Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: FL ME68156) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2021-05-12 |