NPI | 1851551089 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M-12140) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID SPHY-12140) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2022-12-12 |