NPI | 1952698169 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60685337) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD.207161) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2022-08-11 |