NPI | 1336580174 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301119371) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301119371) |
207R00000X Internal Medicine (Licence: MA L-255566) | |
Enumeration Date | 2013-07-09 |
Last Update Date | 2020-02-25 |