NPI | 1023698131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 79942) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 79942) |
Enumeration Date | 2021-04-12 |
Last Update Date | 2025-07-05 |