NPI | 1417981796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NM MD2015-0819) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A62290) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2016-02-19 |