NPI | 1073710992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME105816) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD 30868) |
207R00000X Internal Medicine (Licence: FL ME 105816) | |
Enumeration Date | 2007-07-03 |
Last Update Date | 2014-08-27 |