NPI | 1598766255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301114320) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 51996) |
207RG0100X Internal Medicine, Gastroenterology (Licence: SC 29735) | |
Enumeration Date | 2005-08-03 |
Last Update Date | 2018-08-23 |