NPI | 1649560806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 31825) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.31825) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2018-05-09 |