NPI | 1174767230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C164055) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086424) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2021-11-10 |