NPI | 1689857310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00035465) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00035465) |
Enumeration Date | 2007-12-17 |
Last Update Date | 2023-06-15 |