NPI | 1275806721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NE 1117) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: SC 92569) |
207RG0100X Internal Medicine Gastroenterology (Licence: HI DOS-2091) | |
Enumeration Date | 2012-02-14 |
Last Update Date | 2024-08-29 |