NPI | 1508062654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A92568) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92568) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2011-07-11 |