NPI | 1659366862 |
---|---|
Professional Name | MICHAEL KRICKELLAS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 163775) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 163775) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2013-07-03 |