NPI | 1821199464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M2238) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 46918) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036168849) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2024-04-08 |