NPI | 1487966727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A140340) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197564) |
Enumeration Date | 2010-07-01 |
Last Update Date | 2021-11-29 |