NPI | 1275765810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60614220) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60614220) |
Enumeration Date | 2009-08-16 |
Last Update Date | 2025-10-06 |