NPI | 1700874179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0059594) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C10006596) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2018-08-22 |