NPI | 1700867199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M15050) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101057898) |
Enumeration Date | 2005-11-11 |
Last Update Date | 2022-04-13 |