NPI | 1427154145 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 057808) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 057808) |
207RG0100X Internal Medicine, Gastroenterology (Licence: KY 56278) | |
207RI0008X Internal Medicine, Hepatology (Licence: GA 057808) | |
Enumeration Date | 2006-09-16 |
Last Update Date | 2022-08-17 |