NPI | 1265637227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A123857) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R8077) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2013-10-01 |