NPI | 1275510257 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0014609) |
Additional Taxonomies | 174400000X Specialist (Licence: MD D14609) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2007-10-23 |