NPI | 1518074376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: AZ 56682) |
Additional Taxonomies | 174400000X Specialist (Licence: AL 26170) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-09-09 |