NPI | 1871777698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A101199) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101199) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2021-05-20 |