NPI | 1356509947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 295203) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2021-02901) |
207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301105873) | |
Enumeration Date | 2008-05-30 |
Last Update Date | 2022-12-13 |