NPI | 1184763112 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A88044) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM 2005-0431) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2020-05-27 |