NPI | 1124261417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A107037) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A107037) |
Enumeration Date | 2009-04-15 |
Last Update Date | 2019-10-28 |