NPI | 1194710517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D39528) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD M30908) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2022-03-09 |