NPI | 1811213473 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 64325) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-132733) |
Enumeration Date | 2010-04-07 |
Last Update Date | 2018-07-23 |