NPI | 1255452751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 46097) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 059421) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2010-11-05 |