NPI | 1851359731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 53017) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO 45365) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2016-11-17 |