NPI | 1710071774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G160559) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD023128E) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2019-02-19 |