NPI | 1366855942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NE 1365) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 1365) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2021-03-16 |