NPI | 1497719975 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 18382) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 18382) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2016-06-23 |