NPI | 1619991148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 93541) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD192944) |
207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD.10541R) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0058947) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2023-02-20 |