NPI | 1679868277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD.37611) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 201700853) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2021-12-09 |