NPI | 1427276732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-161387) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 49473) |
207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301501386) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: MN 49473) | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2023-08-02 |