NPI | 1831345362 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 02004091A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT012164) |
207R00000X Internal Medicine (Licence: PA OS015141) | |
Enumeration Date | 2008-08-15 |
Last Update Date | 2021-03-10 |