NPI | 1689764151 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 56852) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 107008) |
207R00000X Internal Medicine (Licence: AR E-4436) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2018-09-26 |