NPI | 1386742484 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME38419) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 21375) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2018-05-01 |