NPI | 1417960634 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301072422) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 42387) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2025-09-23 |