NPI | 1700016185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD22822) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241023) |
207RG0100X Internal Medicine, Gastroenterology (Licence: MA 251153) | |
Enumeration Date | 2009-07-21 |
Last Update Date | 2019-07-18 |