NPI | 1114999570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 70565) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 37410) |
207RG0100X Internal Medicine, Gastroenterology (Licence: CA C131598) | |
Enumeration Date | 2006-02-01 |
Last Update Date | 2024-10-20 |