NPI | 1306083936 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD.33843) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.33843) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2016-03-23 |