NPI | 1023686961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 76035) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 76035) |
Enumeration Date | 2021-06-16 |
Last Update Date | 2024-10-21 |