NPI | 1467403881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101243529) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 45285) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2008-08-06 |