NPI | 1760694186 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60198109) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2014-0212) |
Enumeration Date | 2007-05-06 |
Last Update Date | 2021-07-07 |