NPI | 1407000748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A152928) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 55518) |
Enumeration Date | 2008-11-13 |
Last Update Date | 2021-03-16 |