NPI | 1811005044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G65029) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G65029) |
207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD-21526) | |
Enumeration Date | 2006-08-28 |
Last Update Date | 2025-10-09 |