NPI | 1679527485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD.31660) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 032157) |
207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME99163) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: WI 31469) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2018-04-10 |