NPI | 1629020011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M4372) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-4612) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2020-07-22 |