NPI | 1194722454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME 011068) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 5353) |
Enumeration Date | 2005-07-01 |
Last Update Date | 2009-02-02 |