NPI | 1992776884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: WA OP60322613) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 02002013A) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2018-05-23 |