NPI | 1285602813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101272036) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101272036) |
207RG0100X Internal Medicine, Gastroenterology (Licence: MD D24240) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2023-11-21 |