NPI | 1083847768 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME116492) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD206866) |
Enumeration Date | 2009-08-28 |
Last Update Date | 2022-07-21 |