NPI | 1952399529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 28450) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 28450) |
Enumeration Date | 2005-10-07 |
Last Update Date | 2024-02-13 |