NPI | 1649447012 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 89535) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 117217) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2023-06-19 |