NPI | 1134239957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A31591) |
Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: CA A31591) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2016-10-28 |