NPI | 1659669273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 003724) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019440) |
Enumeration Date | 2011-07-17 |
Last Update Date | 2019-10-03 |