NPI | 1801086087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 005243) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO CDR.0005159) |
207RG0100X Internal Medicine, Gastroenterology (Licence: WI 13109-321) | |
Enumeration Date | 2007-07-25 |
Last Update Date | 2025-09-10 |