NPI | 1063575587 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00047469) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036108890) |
Enumeration Date | 2006-12-18 |
Last Update Date | 2012-11-16 |