NPI | 1841279627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 86347) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 255095) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036.109420) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: TN 38943) | |
Enumeration Date | 2006-01-11 |
Last Update Date | 2024-09-24 |