NPI | 1992969307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2015028190) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 129607) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2019-04-01 |