NPI | 1316998818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-24864) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 207RG0100X) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2022-09-02 |