NPI | 1457542920 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301090067) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036138923) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036138923) | |
Enumeration Date | 2007-08-08 |
Last Update Date | 2025-06-02 |