NPI | 1619922275 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-5416) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 26082) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2019-01-29 |