NPI | 1750325957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 37647) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 46655) |
207RG0100X Internal Medicine, Gastroenterology (Licence: MN 46655) | |
207RI0008X Internal Medicine, Hepatology (Licence: AZ 37647) | |
Enumeration Date | 2006-06-16 |
Last Update Date | 2020-10-05 |