NPI | 1023095692 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 005613) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 5613) |
Enumeration Date | 2005-12-27 |
Last Update Date | 2012-11-08 |