NPI | 1528295698 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 31906) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME 018667) |
Enumeration Date | 2009-06-16 |
Last Update Date | 2023-10-30 |