NPI | 1265521520 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A33885) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A33885) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-08 |