NPI | 1336151711 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0020447) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD9970) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2016-04-28 |