NPI | 1821208935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 45354) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088409) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2023-02-03 |