NPI | 1487611588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 020636) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 67730) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2022-07-21 |