NPI | 1356622799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 40689) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 40689) |
207R00000X Internal Medicine (Licence: WV 2735) | |
Enumeration Date | 2011-08-30 |
Last Update Date | 2024-11-05 |