NPI | 1902913759 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IL 036059072) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01065184A) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2024-09-06 |