NPI | 1154490282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD480004) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 13646-R) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2024-05-28 |