NPI | 1285661892 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 35364) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: MA 35364) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2007-07-08 |