NPI | 1336377043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-45588) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036130696) |
207R00000X Internal Medicine (Licence: MO 2012008164) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01076014A) | |
Enumeration Date | 2009-07-01 |
Last Update Date | 2020-11-10 |