NPI | 1164507778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: MI 4301044428) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301044428) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2012-04-04 |