NPI | 1619949815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 38348) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 29042) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2020-08-20 |