NPI | 1710247986 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101275567) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 19388) |
Enumeration Date | 2012-05-22 |
Last Update Date | 2022-11-18 |