NPI | 1306917935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD 27270) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0027270) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2024-04-18 |