NPI | 1184605537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MA 75303) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 75303) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2015-08-21 |