NPI | 1629133913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A108616) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD433823) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2023-02-28 |