NPI | 1740230333 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A94647) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD205876) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2021-07-20 |