NPI | 1093754285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD210180) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD060269L) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2022-05-27 |