NPI | 1164544953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60445962) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60445962) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2021-04-21 |