NPI | 1265667778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 55599) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 106408) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2021-05-17 |