NPI | 1265412191 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 143435) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 143435) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2010-07-27 |