NPI | 1275638165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G64180) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G64180) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2019-11-27 |