NPI | 1841451580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: DE C10012022) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D78215) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2022-07-29 |