NPI | 1639171481 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 015401) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 026122) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2024-09-03 |