NPI | 1104870971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AL 12752) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: GA 077288) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2017-01-13 |