NPI | 1235494113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME123076) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD046262) |
Enumeration Date | 2012-07-07 |
Last Update Date | 2020-09-02 |