NPI | 1720156136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 60368) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 11931) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2024-09-09 |