NPI | 1831484708 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 257461) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248676) |
Enumeration Date | 2011-06-18 |
Last Update Date | 2017-05-22 |