NPI | 1861413254 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200400682) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 84656) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2023-10-24 |