NPI | 1326660127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OK 35975) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 35975) |
Enumeration Date | 2020-05-14 |
Last Update Date | 2024-05-21 |