NPI | 1669597746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C159011) |
Additional Taxonomies | 174400000X Specialist (Licence: CA C159011) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2019-09-25 |