NPI | 1023060480 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD442357) |
Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: PA MD442357) |
207R00000X Internal Medicine (Licence: PA MD442357) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2012-04-19 |