NPI | 1841264702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 50173) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MT 130278) |
207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD073245L) | |
Enumeration Date | 2006-02-15 |
Last Update Date | 2024-09-27 |