NPI | 1780767608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301075017) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301075017) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2020-02-06 |