NPI | 1124078589 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D63684) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0063684) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2008-07-03 |