NPI | 1578668927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT MED-PHYS-LIC-129229) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92677) |
207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-129229) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: CA A92677) | |
Enumeration Date | 2006-09-13 |
Last Update Date | 2023-10-23 |