NPI | 1396709267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME55567) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME55567) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2019-08-15 |