NPI | 1265412019 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA 21426) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO CDR.0003619) |
207RG0100X Internal Medicine, Gastroenterology (Licence: MT 44672) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD219052) | |
Enumeration Date | 2006-01-18 |
Last Update Date | 2025-02-21 |