NPI | 1134235278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 13273) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 28234) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2007-11-08 |