NPI | 1023423977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 30775) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30775) |
Enumeration Date | 2014-06-29 |
Last Update Date | 2022-10-25 |