NPI | 1679558472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 38598) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301504154) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01086272A) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101040588) | |
Enumeration Date | 2005-12-14 |
Last Update Date | 2024-08-09 |