NPI | 1871563569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 44761) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 447) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2020-08-18 |