NPI | 1346381969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 23910) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 23910) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2011-09-16 |