NPI | 1811351042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 68559-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 68559) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2022-09-12 |