NPI | 1083865836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 109630) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A109630) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2015-08-11 |