NPI | 1184967598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0064470) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036174722) |
207RG0100X Internal Medicine, Gastroenterology (Licence: KY TP984) | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2025-05-07 |