NPI | 1972681500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD60884533) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A90004) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2021-01-18 |