NPI | 1346464765 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C54497) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M7330) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2017-09-19 |