NPI | 1669606109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME133140) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 18180) |
207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD043743) | |
Enumeration Date | 2009-05-13 |
Last Update Date | 2020-10-14 |