NPI | 1811276934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2021036608) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KS 0448057) |
Enumeration Date | 2011-08-07 |
Last Update Date | 2024-01-15 |