NPI | 1144202300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C1-0004966) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0004966) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2024-10-04 |