NPI | 1295944163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 65380-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01073420A) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036117736) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2024-03-04 |