NPI | 1437171683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 203883) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA09606000) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2015-04-02 |