NPI | 1477549699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 27679-020) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-082777) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2011-10-19 |