NPI | 1184911273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 49915) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A113245) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2016-06-22 |