NPI | 1487941928 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 59136) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C163845) |
Enumeration Date | 2011-07-05 |
Last Update Date | 2023-09-06 |