NPI | 1699125559 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV Fl1153) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS18475) |
Enumeration Date | 2016-06-21 |
Last Update Date | 2022-08-19 |