NPI | 1538140017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A78252) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A78252) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2022-10-18 |