NPI | 1619952405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301051147) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301051147) |
207RG0100X Internal Medicine, Gastroenterology (Licence: CA A52987) | |
Enumeration Date | 2005-12-14 |
Last Update Date | 2025-01-21 |