NPI | 1841469061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101256346) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0072438) |
207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2007-01655) | |
Enumeration Date | 2008-02-21 |
Last Update Date | 2024-09-06 |