NPI | 1083661771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 39041) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 9800758) |
207RI0008X Internal Medicine, Hepatology (Licence: IA 39041) | |
207R00000X Internal Medicine (Licence: IA 39041) | |
Enumeration Date | 2006-05-28 |
Last Update Date | 2010-10-22 |