NPI | 1316049257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 051057) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101229689) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-51193) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.143462) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: ID 6661870) | |
207RI0008X Internal Medicine, Hepatology (Licence: VA 0101229689) | |
Enumeration Date | 2006-09-01 |
Last Update Date | 2025-03-07 |