NPI | 1508867193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A50897) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A50897) |
Enumeration Date | 2005-08-03 |
Last Update Date | 2009-12-07 |