NPI | 1265765457 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 66876) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 40071) |
207R00000X Internal Medicine (Licence: IL 125054896) | |
Enumeration Date | 2009-09-07 |
Last Update Date | 2024-11-12 |