NPI | 1760708002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME124576) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 164638) |
Enumeration Date | 2010-04-12 |
Last Update Date | 2022-03-14 |