NPI | 1831356732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A142008) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 53489) |
207RG0100X Internal Medicine, Gastroenterology (Licence: MN 104918) | |
Enumeration Date | 2008-05-19 |
Last Update Date | 2024-10-18 |