NPI | 1376862318 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 55983) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 55983) |
Enumeration Date | 2010-05-28 |
Last Update Date | 2021-03-24 |