NPI | 1063439982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2008-00811) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MN 48827) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2020-12-21 |