NPI | 1396914800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 103667) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 239542) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2012-07-13 |