NPI | 1477014306 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 67728) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 30017) |
207R00000X Internal Medicine (Licence: MN 67728) | |
Enumeration Date | 2019-03-25 |
Last Update Date | 2022-06-30 |