NPI | 1194022541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036-135062) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 02004378A) |
207RG0100X Internal Medicine Gastroenterology (Licence: MN 61636) | |
Enumeration Date | 2011-02-22 |
Last Update Date | 2023-10-31 |