NPI | 1497861439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A064239) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT MED-PHYS-LIC-114422) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2022-08-04 |