NPI | 1619957107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 067892) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 46290-020) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.130180) | |
Enumeration Date | 2006-01-19 |
Last Update Date | 2014-09-09 |