NPI | 1356304224 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA G53771) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G53771) |
Enumeration Date | 2006-04-10 |
Last Update Date | 2014-06-25 |