NPI | 1154490886 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D15857) |
Additional Taxonomies | 208600000X Surgery (Licence: CA G26503) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2007-07-08 |