NPI | 1164459178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A67586) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A67586) |
207RI0008X Internal Medicine, Hepatology (Licence: CA A67586) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2008-01-29 |