NPI | 1306968417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 265559) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A102749) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-03-18 |