NPI | 1316079619 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A92873) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92873) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2021-06-18 |