NPI | 1336122274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD186697) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60226463) |
207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60226463) | |
Enumeration Date | 2005-11-23 |
Last Update Date | 2020-11-06 |