NPI | 1134393200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2011-01335) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2011-01335) |
Enumeration Date | 2008-04-18 |
Last Update Date | 2014-07-10 |