NPI | 1821076316 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A54763) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD22244) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2023-12-22 |