NPI | 1639389984 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 67374-020) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 04-36304) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2018-03-17 |