NPI | 1659413656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 974) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036111558) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2023-05-19 |