NPI | 1053608687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-45614) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301099393) |
Enumeration Date | 2011-07-04 |
Last Update Date | 2021-08-10 |