NPI | 1194962803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 136450) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092558) |
Enumeration Date | 2009-01-16 |
Last Update Date | 2023-07-28 |