NPI | 1326222431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 15134) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ME 018776) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2012-02-01 |