NPI | 1598787491 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 16768) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2003-00666) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2023-03-07 |