NPI | 1063893733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 35101) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036150023) |
207R00000X Internal Medicine (Licence: MI 4301108088) | |
Enumeration Date | 2015-06-17 |
Last Update Date | 2025-08-15 |