NPI | 1780645564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: KY 21649) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 21649) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2021-08-27 |