NPI | 1215980461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G131467) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 116563) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2015-07-22 |