NPI | 1437188935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD11619) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD11619) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2013-04-15 |